腹腔镜下Burch术与TVT术治疗压力性尿失禁的临床观察

Clinical observation of laparoscopic Burch and TVT surgery in the treatment of patients with stress urinary incontinence

目的比较腹腔镜下膀胱颈悬吊术与无张力阴道吊带悬吊术治疗张力性尿失禁的临床疗效。方法对61例女性压力性尿失禁患者分别行TVT术(33例)及腹腔镜下Burch术(28例)治疗,术后分别使用Grouts-Blaivas评分法评价两种方法治疗尿失禁的效果。结果 TVT术平均手术时间及平均住院时间短于腹腔镜下Burch术,差异有统计学意义(P<0.05)。两组患者在术中出血量及术后留置导尿管时间等方面比较差异无统计学意义(P>0.05)。结论两种方法均为治疗女性SUI的有效方法。应根据患者自身情况选择合适的治疗方式。

Objective To compare outcomes of laparoscopic Burch and TVT surgery in the treatment on patients with stress urinary incontinence. Methods A total of 61 women with SUI were assigned to undergo either TVT （n=33） or laparoscopic Burch （n=28）. Therapeutic effect wag evaluated according to classification of Grouts-Blaivas outcome score＇ Results There were significant differences in the mean operative time and the time of hospitalization （P 〈 0.05）. But there were no significant differences in intraoperative bleeding and the mean catheterization time in the two groups （P 〉 0.05）. Conclusion BOth surgeries are effective procedures for the treatment of SUI. Therefore, it is necessary to choose the appropriate treatment according to the conditions and requirements of the patients.